XWH-82509-06821
4 vaccinations
16 coded responses
50 check-ins
16 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 546 / WI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Dose 1 — Moderna
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2021-03-17
Registered in v-safe
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Abdominal painAdult check-in
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-22
- 2021-03-24
- 2021-03-31
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Survey response — 0 day, dose 2MedDRA: Thirst, Throat irritation — Feeling: Fair · Site: Pain, Swelling · FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Lethargy, Thirst — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — 28 day, dose 2MedDRA: Fatigue — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-18
- 2021-05-25
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2021-07-13
Survey response — 3 month, dose 2MedDRA: Back pain, Trigger points — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-10-12
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2021-11-23
Dose 3 — Moderna
- 2021-11-23
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, DiarrheaMedDRA releases: 2024-11 · check-in answers available
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Induration, Lymphadenopathy — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
- 2021-11-28
- 2021-11-30
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2021-12-07
Survey response — 14 day, dose 3MedDRA: Diarrhoea — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
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2021-12-14
Survey response — 21 day, dose 3MedDRA: Cardiac flutter, Petechiae — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2021-12-21
- 2021-12-28
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2022-01-06
Survey response — 42 day, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-02-22
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2022-05-24
Survey response — 6 month, dose 3MedDRA: Gallbladder disorder — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
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2022-10-20
Dose 4 — Pfizer-BioNTech
- 2022-10-20
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2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Muscle twitching, Musculoskeletal stiffness — Feeling: Fair · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
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2022-10-22
Survey response — days 1–6 daily, dose 4MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Fever · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
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2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
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2022-11-24
Survey response — 35 day, dose 4MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-10-20 | Pfizer-BioNTech | No |
Free text
Release 6
Systemic reaction (other): Thirst - you his has been since the shot, I just forgot to report
Release 7
Systemic reaction (other): Thirst, scratchy throat
Systemic reaction (other): Thirst, lethargy
Systemic reaction (other): Bruising by injection site
Systemic reaction (other): Bruise at injection site
Release 8
Symptoms: Im tired a lot, sad more often. Not normal for me.
Release 9
Symptoms: Back/trigger points on back very tight causing back pain. Not something common for me
Release 10
Systemic reaction (other): Swollen armpit glands and pain
Systemic reaction (other): My lymph nodes in shot arm -armpit still hard and full feeling
Symptoms: Diarrhea
Symptoms: I had 2 peticiae on my left side breast (shot arm) that came up for 3 days and faded. I had 2 episodes where my heart felt floppy. Both times resolved
Symptoms: Runny nose, sore throat
Release 11
Symptoms: Gall bladder issues I have never had
Release 12
Systemic reaction (other): Stiff neck in shot side and on and off twitching arm from shot area to elbow
Systemic reaction (other): Twitchy shot arm
Symptoms: Horrible arthritis type pain on hands and large joints
Free-text releases are not linked to a specific survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Petechiae | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Trigger points | ✓ | ✓ | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Muscle twitching | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release